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<table width="100%" border="0" bgcolor="#ffffff">
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    <td height="39" align="center" bgcolor="#FFFFCC"><h3><strong>PUBLICIDAD</strong></h3></td>
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    <td height="633"><form id="form1" name="form1" method="post" action="" style="height: 918px; ">
      <table width="100%" border="0" style="height: 556px; ">
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          <td style="height: 131px; "><table width="98%" border="0" align="center" style="height: 128px; ">
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              <td height="38" colspan="2" bgcolor="#66CCFF" style="height: 11px; "><h4>USUARIO:</h4></td>
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              <td width="26%">Nombre:</td>
              <td width="74%">Luis Antonio Cisneros Martinez</td>
            </tr>
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              <td>Identificación:</td>
              <td>
              <select name="TipoDoc">
					<option value="1">DNI</option>
					<option value="2">RUC</option>
					<option value="3">CE</option>
				  </select>
              <input type="text" name="Txt_NumDoc" id="Txt_NumDoc" /></td>
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          <td height="59" style="height: 195px; "><table width="98%" border="0" align="center">
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              <td height="30" colspan="2" bgcolor="#99FF00" style="height: 18px; "><h4>DATOS DE PUBLICIDAD:</h4></td>
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              <td style="height: 19px; ">Titulo:</td>
              <td><input name="Txt_NumDoc2" type="text" id="Txt_NumDoc2" value="" style="width: 627px; "/></td>
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              <td>Contenido:</td>
              <td><textarea style="width: 446px; height: 82px"></textarea></td>
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              <td style="width: 103px; ">Fecha Inicio:</td>
              <td><input name="Txt_NumDoc2" type="text" id="Txt_NumDoc2" value="22/03/2012" style="width: 139px; "/></td>
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              <td>Fecha Fin:</td>
              <td><input name="Txt_NumDoc2" type="text" id="Txt_NumDoc2" value="31/03/2012" style="width: 142px; "/></td>
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              <td>Tarifa:</td>
              <td><input name="Txt_NumDoc2" type="text" id="Txt_NumDoc2" value="S/. 0.00" style="width: 141px; "/></td>
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              <td style="width: 138px; ">Número de Clicks:</td>
              <td><select name="cmbLocal" style="height: 29px; width: 70px">
                <option value="1">1 click</option>
                <option value="2">2 click</option>
                <option value="3">3 click</option>
              </select></td>
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              <td>Ubicación:</td>
              <td><select name="cmbLocal" style="height: 29px; width: 394px">
                <option value="1">Por Favor, seleccione una ubicación</option>
                <option value="2">PÁGINA PRINCIPAL</option>
                <option value="3">PÁGINAS DEL CLIENTE</option>
                <option value="4">PÁGINAS DEL DUEÑO</option>
              </select></td>
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	<th bgcolor="#FFCC33" class="fdg_1_header" id="fdg_1_header_Contador">N°</th>
	<th bgcolor="#FFCC33" class="fdg_1_header fdg_sortable" id="fdg_1_header_nombre" onclick="document.getElementById('fdg_form_1').setAttribute('action', self.location.href);document.getElementById('__sf').value='nombre';document.getElementById('__so').value='asc'; document.getElementById('fdg_form_1').submit();">Ubicación</th>
	
	
    	
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	<td align="right" class="fila">01
	  <label for="rdb_Select"></label></td>
	<td bgcolor="#66CCFF" class="fila" style="width: 512px; ">PÁGINA PRINCIPAL</td>
	
	
    
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          <td style="height: 35px; ">
            <table width="98%" border="0" style="height: 47px; ">
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                  <td><input type="submit" value="Enviar" style="width: 174px; "/></td>
                  <td><input type="submit" value="Cancelar" style="width: 202px; "/></td>
                  
                   
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